2011-2012 Tournament Entry

Oct 15, 2011___      Oct 29, 2011___

    Nov 26, 2011___      Dec 17, 2011___    Jan 7, 2012___  

    Jan 21, 2012___
This entry form may be printed then mailed or brought to sign up location

Boater Name   _____________________________________

Address   ________________________________________ 

City  ______________        State  _____   Zip _____

Phone ____________________ Email    ____________________  
  
Social Security # ____________________  **
** Must provide at ramp with entry fee due to security.
***I have read Winter Bass Series rules and agree to all terms and conditions .

Signature______________________________________
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Non-Boater Name   ____________________________________

Address            ________________________________________

City  ____________________________  State ____   Zip ______

Phone  _____________________ Email  _____________________

Social Security # ____________________  **
** Must provide at ramp with entry fee due to security.
***I have read Winter Bass Series rules and agree to all terms and conditions.

Signature___________________________________

Tournament Director:  Teri Pierce  417-294-4955
   147 Busch Ave. Kimberling City MO 65686   terip@centurytel.net
                    

 

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IMPORTANT !!

THIS ENTRY FORM ALONE DOES NOT ENTER YOU INTO THE TOURNAMENT!

****Your entry is NOT complete without entry fee.

The form was designed to save time at sign up.

To complete your entry may mail completed form along with your check to:
Teri Pierce
147 Busch Ave.
Kimberling City MO 65686 

 ** INSTRUCTIONS TO PRINT ALL OF THE ENTRY ON ONE PAGE

Go to file on your tool bar, then to print preview make sure shrink to fit is selected in box on your right of toolbar then look at image arrow on left side  of image slide it to the top to adjust top margin, then just check and make sure
you have the complete image.

 If still having problems printing let us know and we will email you one.